UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $307.04 – $1,989.40 | 9 |
| Small bowel endoscopy br/wa CPT 44380 | $1,885.20 | $3,142.00 | $64.44 – $983.24 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $10,842.00 | $18,070.00 | $460.56 – $6,242.82 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $91.20 | $152.00 | $3.30 – $8.39 | 9 |
| Smear gram stain CPT 87205 | $41.40 | $69.00 | $3.69 – $8.33 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $142.20 | $237.00 | $4.95 – $11.69 | 9 |
| Smear wet mount CPT 87210 | $68.40 | $114.00 | $5.02 – $11.71 | 9 |
| Smpd1 gene common variants CPT 81330 | $1,189.20 | $1,982.00 | $40.58 – $274.83 | 9 |
| Sodium 24 hour urine CPT 84300 | $80.40 | $134.00 | $4.37 – $10.49 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $62.40 | $78.00 | $0.00 – $15.24 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $78.80 | $98.50 | $0.80 – $13.29 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $78.80 | $98.50 | $0.03 – $13.29 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $21.60 | $36.00 | $0.02 – $0.02 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $117.60 | $147.00 | $1.28 – $15.33 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $1,648.80 | $2,748.00 | $45.16 – $272.22 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $88.20 | $147.00 | $4.15 – $10.15 | 9 |
| Spacer bag/reservoir HCPCS A4627 | $587.20 | $734.00 | $40.34 – $333.68 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $306.62 – $1,375.00 | 2 |
| Special physics consult CPT 77370 | $591.00 | $985.00 | $106.15 – $320.99 | 9 |
| Special radiation treatment CPT 77470 | $1,247.40 | $2,079.00 | $40.15 – $1,308.51 | 9 |
| Special teletx port plan CPT 77321 | $1,261.20 | $2,102.00 | $56.98 – $499.85 | 9 |
| Specific gravity body fluid CPT 84315 | $37.20 | $62.00 | $2.83 – $6.89 | 7 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $239.40 | $399.00 | $138.75 – $545.54 | 3 |
| Speech Therapy Session (one-on-one) CPT 92507 | $225.60 | $376.00 | $23.87 – $79.28 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $213.38 – $996.54 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $64.06 – $382.81 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,439.40 | $2,399.00 | $80.72 – $726.25 | 9 |
| Spine X-ray (single view, one level) CPT 72020 | $405.00 | $675.00 | $23.54 – $92.34 | 9 |
| Splint finger 4 prong foam sm HCPCS A4570 | $222.60 | $371.00 | $20.92 – $117.16 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $131.40 | $219.00 | $48.77 – $507.47 | 2 |
| Split blood or products CPT 86985 | $303.00 | $505.00 | $80.23 – $179.71 | 6 |
| Srs linear based CPT 77372 | $8,479.20 | $14,132.00 | $694.74 – $8,016.91 | 9 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $239.40 | $399.00 | $69.79 – $321.11 | 3 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $61,878.60 | $103,131.00 | $13,833.82 – $26,210.26 | 7 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $30,010.80 | $50,018.00 | $1,695.36 – $13,075.07 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,015.20 | $1,692.00 | $1,056.85 – $1,056.85 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $11,522.40 | $19,204.00 | $1,158.04 – $6,877.99 | 2 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $17,533.20 | $29,222.00 | $962.68 – $7,725.33 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,448.00 | $29,080.00 | $5,116.53 – $11,893.06 | 7 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $16,830.00 | $28,050.00 | $3,788.30 – $4,658.60 | 3 |
| Sterile needle HCPCS A4215 | $367.80 | $613.00 | $0.15 – $555.71 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $4.60 | $5.75 | $0.09 – $3.09 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | $21.60 | $36.00 | $4.50 – $21.51 | 2 |
| St evaluate speech sound production CPT 92522 | $239.40 | $399.00 | $66.90 – $444.80 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $490.80 | $818.00 | $46.55 – $225.26 | 7 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,825.20 | $3,042.00 | $148.49 – $522.70 | 9 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $22.00 – $165.47 | 9 |
| Strapping of toes 29550 CPT 29550 | $742.80 | $1,238.00 | $22.00 – $131.35 | 9 |
| Strep a ag ia CPT 87430 | $52.20 | $87.00 | $6.93 – $18.49 | 9 |
| Strep b dna amp probe CPT 87653 | $389.40 | $649.00 | $30.30 – $92.02 | 9 |
| Streptozocin injection HCPCS J9320 | not published | $783.53 | $133.72 – $133.72 | 1 |
| Stress tte complete CPT 93351 | $1,935.00 | $3,225.00 | $204.09 – $575.01 | 9 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $11.40 | $19.00 | $1.88 – $1.88 | 1 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $5,649.60 | $7,062.00 | $240.18 – $240.18 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.60 | $0.75 | $0.03 – $0.05 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $874.40 | $1,093.00 | $15.29 – $197.35 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $131.40 | $219.00 | $81.33 – $368.04 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $62.40 | $104.00 | $6.03 – $27.50 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $154.80 | $258.00 | $9.75 – $70.24 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $622.20 | $1,037.00 | $13.57 – $94.75 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $757.20 | $1,262.00 | $27.86 – $168.74 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $888.00 | $1,480.00 | $36.33 – $377.25 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $301.20 | $502.00 | $54.81 – $856.70 | 9 |
| Surgical trays HCPCS A4550 | $294.60 | $491.00 | $70.43 – $83.84 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | $51.00 | $85.00 | $4.10 – $13.02 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $55.80 | $93.00 | $4.10 – $12.72 | 9 |
| Susceptibility mic per plate CPT 87186 | $74.40 | $124.00 | $7.47 – $16.87 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | $761.40 | $1,269.00 | $5.73 – $17.75 | 9 |
| Svc venogram s&i CPT 75827 | $1,851.60 | $3,086.00 | $41.25 – $1,629.12 | 9 |
| Swallowing Evaluation (Bedside) CPT 92610 | $490.80 | $818.00 | $42.79 – $225.26 | 7 |
| Swallowing Therapy Session CPT 92526 | $318.00 | $530.00 | $89.57 – $322.35 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $41.40 | $69.00 | $3.80 – $12.08 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $362.40 | $604.00 | $14.63 – $36.55 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $155.40 | $259.00 | $8.80 – $27.66 | 9 |
| T4 (thyroxine) free CPT 84439 | $226.20 | $377.00 | $7.79 – $17.60 | 9 |
| T4 (thyroxine) total CPT 84436 | $91.80 | $153.00 | $5.93 – $14.83 | 9 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.20 | $4.00 | $0.79 – $1.83 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $49.80 | $62.25 | $0.11 – $5.69 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $204.00 | $340.00 | $11.85 – $36.78 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $405.00 | $675.00 | $26.99 – $92.34 | 9 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $32.40 | $40.50 | $3.40 – $23.36 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,877.40 | $3,129.00 | $100.41 – $201.11 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $7,146.00 | $11,910.00 | $457.42 – $948.56 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,739.00 | $9,565.00 | $1,869.20 – $3,646.23 | 9 |
| Target gsa panel organ neop CPT 81445 | $3,223.20 | $5,372.00 | $421.80 – $746.72 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $510.00 | $850.00 | $53.51 – $162.49 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | $1,461.00 | $2,435.00 | $692.74 – $1,671.27 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | $1,029.60 | $1,716.00 | $144.19 – $823.08 | 2 |
| Tc-99m maa HCPCS A9540 | $306.60 | $511.00 | $41.19 – $349.01 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $303.00 | $505.00 | $101.07 – $369.21 | 2 |
| Tc-99m medronate HCPCS A9503 | $183.60 | $306.00 | $83.56 – $258.03 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $1,909.80 | $3,183.00 | $836.00 – $1,779.19 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.00 | $25.00 | $8.63 – $11.00 | 5 |
| Tc-99m oxidronate HCPCS A9561 | $236.40 | $394.00 | $61.61 – $95.31 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $231.60 | $386.00 | $30.49 – $95.79 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $43.20 | $72.00 | $1.03 – $29.82 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $276.00 | $460.00 | $61.62 – $227.11 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,276.20 | $2,127.00 | $228.37 – $820.33 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $542.40 | $904.00 | $120.62 – $514.82 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $72.60 | $121.00 | $961.01 – $961.01 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.